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Updated 03/15/15
We are required by federal law to provide you with a Notice of Privacy Practices (“Notice”) that describes how medical information that we maintain about you may be used or disclosed. The Notice describes how, when, and why we use and disclose medical information about you, and provides a description of your rights and our obligations under federal and state privacy laws.
Uses and Disclosures
We are permitted to use and disclose your health information under a variety of circumstances. Sometimes we must obtain your authorization before we use or disclose that information, but in other circumstances we may use your information without your authorization and without informing you of the use or disclosure. Some of the reasons that we may use or disclose your information include:
• To provide information about your health condition to other health care providers who may treat you;
• To provide information about the treatment that we provided in order to obtain payment from your health plan;
• To report a communicable disease, or other legal reporting requirements; or
• To comply with a court order requiring the disclosure of your medical record.
These examples are merely illustrative. For a full description of the uses and disclosures that we are permitted to make, please consult the Notice.
Your Rights
While the records that we maintain about you belong to us, under the federal privacy law you have a variety of rights with respect to the information maintained in those records. For instance, you have the right to access and receive a written or electronic copy of the medical information we maintain about you and to request that we amend information that you believe is incomplete or incorrect. Also, you may request a list of certain instances in which we have disclosed medical information about you. You also have the right to be notified following a breach of your unsecured PHI. All of these rights are subject to some exceptions that are described in full in the Notice.
Acknowledgment
You will be asked to sign an acknowledgment of your receipt of our Notice; however, your receipt of care and treatment is not conditioned upon you signing the acknowledgment form.
Our Obligations
We are required to provide you with our Notice and to abide by its terms. We may change the Notice from time to time. All amendments apply to prior information we may have about you.
Our full Notice of Privacy Practices is available upon request at the registration location, and on our website www.mtpsychiatry.com. Please read it carefully. If you have any questions or require additional information, please contact our Privacy Officer at (406) 839-2985.
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